COULTER? LH 750 SLIDEMAKER 6605633

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05,06 report with the FDA on 2012-04-14 for COULTER? LH 750 SLIDEMAKER 6605633 manufactured by Beckman Coulter, Inc..

Event Text Entries

[2591666] A customer contacted beckman coulter inc. , (bec) and reported some blood under the coulter lh 750 slidemaker and believes it comes from the backwash cup that cleans the probe. The leak was not contained within the instrument. The customer was wearing personal protective equipment (ppe) consisting of a lab coat and gloves at the time of this event. There were no injuries in relation to this event. There was no exposure to skin, mucous membranes or open wounds and medical attention was not sought. The material safety data sheet (msds) was not reviewed by the customer. There is an exposure control/risk management plan in place at the facility. There was no patient results affected and there were no erroneous results reported out of the lab. There was no death, injury or change to patient treatment associated with event.
Patient Sequence No: 1, Text Type: D, B5


[9800643] Per labeling, beckman coulter, inc. Urges its customers to comply with all national health and safety standards such as the use of barrier protection. This may include, but it is not limited to, protective eyewear, gloves, and suitable laboratory attire when operating or maintaining this or any other automated laboratory analyzer. A bec field service engineer (fse) was dispatched on (b)(4) 2012. The fse observed no leakage on the instrument, only a very small fluid splash on dispense probe rinse block. The fse cleaned the instrument, removed fluids module, replaced back connector, flashed and cleaned waste line. The issue was resolved. The cause of the leak was a splash from the probe rinse block. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1061932-2012-01287
MDR Report Key2535805
Report Source05,06
Date Received2012-04-14
Date of Report2012-03-20
Date of Event2012-03-20
Date Mfgr Received2012-03-20
Device Manufacturer Date2011-06-01
Date Added to Maude2012-09-11
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactMS. DUNG NGUYEN
Manufacturer Street250 S. KRAEMER BLVD.
Manufacturer CityBREA CA 92821
Manufacturer CountryUS
Manufacturer Postal92821
Manufacturer Phone7149614941
Manufacturer G1BECKMAN CULTER INC.
Manufacturer Street11800 SW 147TH AVENUE
Manufacturer CityMIAMI FL 33196
Manufacturer CountryUS
Manufacturer Postal Code33196
Single Use3
Previous Use Code3
Removal Correction NumberN/A
Event Type3
Type of Report3

Device Details

Brand NameCOULTER? LH 750 SLIDEMAKER
Generic NameSPINNER, SLIDE, AUTOMATED
Product CodeGKJ
Date Received2012-04-14
Catalog Number6605633
Lot NumberN/A
ID NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerBECKMAN COULTER, INC.
Manufacturer Address250 S KRAEMER BLVD. BREA CA 92821 US 92821


Patients

Patient NumberTreatmentOutcomeDate
10 2012-04-14

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